MCI app/Goals

MCI GOALS BY STAGE

STAGE 1 GOALS

Needs Assessment

- situation/incoming patients needs assessment/estimated time-line

- ED/OR/Hosp capacity needs assessment

Activate Response (local)

- (understand base concepts of code yellow ED vs. code yellow Hospital)

- Declare code yellow ED

- Activate local incident command (administration)

- Notify clinical departments: ED, trauma for Peds & Adults, radiology & shift coordinators

- Partial mobilization of staff: ED trauma nurses, radiology, public affairs, EVS, security, public affairs

- Activate local reverse triage

Decide/Assess

- [partial] mobilization of hospital incident command

- Define staff, space, stuff needs

- Acquire/Prepare additional supplies

STAGE 2 GOALS

Needs Assessment

- situation/incoming patients needs assessment/estimated ongoing time-line

- Hospital capacity needs assessment

Activate Hospital Response

- (understand base concepts of code yellow ED vs. code yellow Hospital)

- Declare code yellow HOSPITAL

- Activate Hospital incident command (HICS)

- Notify clinical departments: wards, trauma for Peds & Adults, radiology & shift coordinators

- Stop elective operations (ORs/Clinics)

- Mobilization of staff: Hospital nursing, blood bank, EVS, radiology, public affairs, security, public affairs, facilities

- Call in additional staff

- Activate hospital-wide reverse triage

Decide/Assess

- [partial] mobilization of hospital incident command

- Define staff, space, stuff needs

- Acquire/Prepare additional supplies

- Establish contact with other hospitals

- Go on ED diversion

- Contact materials management for more supplies (eg, PPE)

STAGE 3 GOALS

Triage + Treat Patients

Move Patients Around

Expand available space to accommodate more patients

Secure perimeter/crowd control

Attempt to Resupply

STAGE 4 GOALS

1. maintain contact with other hospitals 2. needs assessment: open ICU/OR beds check 3. borrow supplies 4. re-supply 5. media/crowd management 6. Triage

STAGE 5 GOALS

1. Staff management – getting more fatigue mitigation; food 2. Family management 3. Advanced triage 4. Definitive Treatment - ICU, OR, Home, Psych Liaison, Morgue 5. Ongoing security

STAGE 6 GOALS

1. Send excess staff home 2. Begin elective procedures again 3. Bring in new staff 4. De-escalate security 5. Restock supplies 6. Laundry/Room Flips